PHARMBLUE LLC
NPI 1386984771
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Q: What is Pharmblue LLC's NPI number?

The NPI number for Pharmblue LLC is 1386984771. It was assigned to this organization in the NPPES registry on February 21, 2013. The provider is doing business as Avita and Avita Pharmacy 1059.

Q: What is Pharmblue LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Pharmblue LLC was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2013

1226 CHESTNUT ST, PHILADELPHIA, PA 19107(855) 779-4720(558) 779-4721 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2025, Jun 13, 2024, Mar 28, 2017 and 5 more (8 updates tracked since 2016).

On this page

About Pharmblue Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMBLUE LLC (NPI 1386984771), doing business as Avita, is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since February 2013. The organization lists Carl Cody Colquitt, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1386984771

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePHARMBLUE LLC

Location Address1226 CHESTNUT STPhiladelphia, PA 19107-4849

Mailing Address10604 Coursey BlvdBaton Rouge, LA 70816-4015 · (469) 592-2011

Phone(855) 779-4720

Fax(558) 779-4721

Organization SubpartNo

Authorized OfficialCarl Cody ColquittChief Financial Officer · (469) 850-6930

Enumeration DateFebruary 21, 2013

Last NPPES UpdateFebruary 20, 20258 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1386984771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Licenses✔ Licensed in AK · PHAO1275✔ Licensed in DE · A9-0001259✔ Licensed in KS · 22-13036✔ Licensed in DC · NRX0000260✔ Licensed in CO · OSP.0006224✔ Licensed in HI · PMP854✔ Licensed in KY · PA1671✔ Licensed in ID · 22299MS✔ Licensed in CT · PCN.0002541✔ Licensed in FL · PH27097✔ Licensed in IN · 64001499A✔ Licensed in IA · 4214✔ Licensed in IL · 054.018350✔ Licensed in GA · PHNR000016✔ Licensed in CA · 1495

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1226 CHESTNUT ST, Philadelphia, PA 19107

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Other Names 3

Doing Business AsAvita

Doing Business AsAvita Pharmacy 1059

Doing Business AsPharmblue Llc

Other Identifiers 15

Medicaid1386984771MN

Medicaid3096207NH

Medicaid1386984771VA

Medicaid48076554NM

Medicaid10026562700NE

Medicaid1386984771MT

Other2139860Pk

Medicaid1386984771TN

Medicaid500689502OR

Medicaid7P2344SC

Medicaid82828501DC

Medicaid102811091 0001PA

Medicaid1386984771WA

Medicaid152103OH

Medicaid70409100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmblue LLC's NPI number?

The NPI number for Pharmblue LLC is 1386984771. It was assigned to this organization in the NPPES registry on February 21, 2013. The provider is doing business as Avita and Avita Pharmacy 1059.

Where is Pharmblue LLC located?

Pharmblue LLC is located at 1226 Chestnut St, Philadelphia, PA 19107. The listed phone number is (855) 779-4720.

What is Pharmblue LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Pharmblue LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Pharmblue LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pharmblue LLC was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.